Gastro-esophageal reflux

Very low urgency
Very common-

Gastroesophageal reflux is the leakage of stomach contents into the esophagus.

It is caused by the failure of the lower esophageal sphincter to close properly. Factors that contribute to its occurrence include the presence of a hiatal hernia, certain foods, adopting a horizontal position after eating, abdominal pressure, and certain medications.

It causes a burning or sour sensation in the chest and throat. When reflux reaches the mouth, it can cause an acidic or bitter taste known as heartburn.

The diagnosis is based on a complete medical history and physical examination, and is confirmed with tests that measure the acidity of the gastrointestinal tract.

Treatment is based on avoiding the causes that trigger it and reducing the amount of stomach acid with medications (antacids).

Bibliographic references
  1. Ronnie Fass, MD. Approach to refractory gastroesophageal reflux disease in adults. UpToDate. Jun 07, 2016.
  2. Peter J Kahrilas, MD. Medical management of gastroesophageal reflux disease in adults. UpToDate. Mar 31, 2016.
  3. Aziz Q, Fass R, Gyawali CP, et al. Functional Esophageal Disorders. Gastroenterology 2016.
  4. Katz PO, Gerson LB, Vela MF. Guidelines for the diagnosis and management of gastroesophageal reflux disease. Am J Gastroenterol 2013; 108:308.
  5. Mearin Manrique F. Enfermedades del esófago. Farreras Rozman. Medicina Interna. Volumen 1. 12º edición: 43 y 48.
Author
Dr. Sara Vitoria
Copyright
© TeckelMedical 2026

Symptoms

    Acidity in esophagus


    Heartburn pit of the stomach


    Burning sensation in throat


    Dry cough


    Spits up frequently and/or in significant amounts.

Symptoms to watch out for

Bloody vomit
Fever (temperature higher than 100.4 ºF)
Dark/black colored stools
Abdominal pain that increases rapidly
History of immunodeficiency (HIV, Diabetes Mellitus, oncological disorders, long-term corticosteroid consumption).

Self-care

Reduce alcohol consumption.
Avoid taking over-the-counter medications such as nonsteroidal anti-inflammatory drugs.
Avoid fatty foods, such as red meat, butter, fried foods and cheese.
Eat small meals every day instead of 2 or 3 large meals.
Consume 1 antacid 30 to 60 minutes before breakfast.